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Cervicitis, Ectropion, and True Erosion

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Cervicitis is acute or chronic cervical inflammation; can be infectious or noninfectious

  • Ectropion is the eversion of the endocervix, exposing the columnar cells to the vaginal enviro...

DIAGNOSIS

HISTORY

  • Can be asymptomatic (1,5) or have increased or abnormal vaginal discharge

  • Dyspareunia

  • Lower abdominal pain/pelvic pain

  • Postcoital or intermenstrual bleeding/spotting (1)

PHYSICAL EXAM

  • Cerv...

TREATMENT

MEDICATION

First Line

  • If infectious cervicitis suspected in high-risk patient, presumptive treatment is appropriate: ceftriaxone 250 mg single dose IM, followed by either azithromycin 1 g sing...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Test of cure for C. trachomatis is recommended in pregnant patients to document eradication of infection; perform at least 3 weeks following tre...

REFERENCES

1
Workowski K, Bolan GA; for Centers for Disease Control and Prevention. Sexually transmitted disease treatment guidelines, 2015. MMWR Recomm Rep.  2015;64(RR-03):1–137. [View Abstract ...

ADDITIONAL READING

  • Cazanave C, Manhart LE, Bébéar C. Mycoplasma genitalium, an emerging sexually transmitted pathogen. Med Mal Infect.  2012;42(9):381–392.

  • Centers for Disease Control and Preventi...

CODES

ICD10

  • N72 Inflammatory disease of cervix uteri

  • N86 Erosion and ectropion of cervix uteri

ICD9

  • 616.0 Cervicitis and endocervicitis

  • 622.0 Erosion and ectropion of cervix

SNOMED

  • 37610005 inflammation of c...

CLINICAL PEARLS

  • If infectious cervicitis is suspected, treatment of choice is ceftriaxone 250 mg IM plus azithromycin 1 g PO × 1 dose. Do not wait for test results.

  • Sexual partners need to be treated.

  • P...

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